2026-08-15T05:51:26-05:00 2025-09-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 46204 990 2024-10-01 841421665 St Luke's Wood River Medical Center Ltd STLU 2083812222 190 E Bannock St Boise ID 83712 Kate Fowler SVP/CFO/Treasurer 2083812222 2026-08-14 1 1 Shawna M Jansons P01222873 3174648600 2024 2025-03-06 01:10:19Z Chris Roth 190 E Bannock St Boise ID 83712 109452601 0 X www.stlukesonline.org X 1996 ID To be the community's most trusted partner in health. 16 15 0 25 0 0 2152626 892466 98241653 108006549 0 141025 362907 410013 100757186 109450053 769264 1062217 0 0 0 0 0 0 983522 92978133 100599676 93747397 101661893 7009789 7788160 156436118 168235813 5210508 9222043 151225610 159013770 X To improve the health of people in the communities we serve. 0 0 34012601 43050302 Medical & Surgical:St. Luke's Wood River Medical Center opened its doors in 2000 in Ketchum to serve the health care needs of people living in Blaine County and the surrounding region. The 25-bed critical access hospital provides 24-hour emergency services, orthopedic and general surgery, diagnostic imaging including MRI, CT and digital mammography, laboratory, obstetrics and gynecology, outpatient infusion services including chemotherapy, physical therapy, occupational therapy, and speech therapies as well as outpatient behavioral health services.SLWR also owns and operates multiple physician clinics; the organization's total campus square footage is more than 200,000 square feet. Primary and specialty care providers coordinate patient care in local clinics; St. Luke's physicians are part of a network of more than 150 providers specializing in dermatology, family medicine, internal medicine, neurology, OB/GYN, pediatrics, orthopedics and urology.During fiscal year 2025, St. Luke's Wood River Medical Center provided qualified inpatient care for 1,086 admissions and patient care associated with 125,457 outpatient visits. 11910336 4763088 Primary Care:Wood River has internal medicine, OB/GYN, family medicine, pediatrics, dermatology, gastroenterology, mental health, neurology, orthopedics and sports medicine practices. St. Luke's primary care physicians and associated care teams serve as first point of contact for patients seeking services and provide ongoing, comprehensive and coordinated care to address a wide range of health needs among the multiple and expanding populations served from Wood River facilities. Wood River has led within the health system with respect to community health and has established robust partnerships with multiple mission-oriented community organizations to meet community needs and connect patients and families with a broad variety of services. 6155992 2087995 Ortho-Neuro:Physical, occupational and speech therapists provide personalized care to help patients recover from injury and surgery and to help manage chronic conditions. Specialties include sports medicine, spine wellness, orthopedic and neurologic rehabilitation, hand therapy, lymphedema, spine therapy, pelvic health, pediatrics and geriatrics. Treatment programs include balance and vestibular therapy, arthritis therapy, osteoporosis rehabilitation, cancer rehabilitation, speech and language therapy, cognitive therapy, ski conditioning, arthritis therapy, neurologic rehabilitation, concussion rehabilitation, including ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) and sports medicine. Services include ergonomic evaluations, modified barium swallow testing and access to AlterG Anti-Gravity Treadmill technology to expedite recovery time after surgery, injury and/or other mobility impairment. Speech and articulation and mobility and balance classes serve patients with Parkinson's disease.Comprehensive diagnosis and treatment for people ages 12 and older who need neurological care are offered at the Hailey clinic location; specialties here include disorders of the nervous system, including brain, spinal cord, nerves, and muscles, along with the treatment and management of epilepsy, stroke, sleep disorders, multiple sclerosis, Parkinson's disease and other neurological conditions. 39365671 1062217 58105164 Other services include pharmacy, inpatient rehabilitation, emergency services, lab services, women's, heart, behavioral health, acute, telehealth, oncology and children's. 39365671 1062217 58105164 91444600 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Jared Grant 2083812222 190 E Bannock Boise ID 83712 X Chris Roth President & System CEO 2.00 50.00 X X 0 2017450 87147 Andy Scoggin Director 0.50 2.50 X 0 0 0 Lisa Grow Chair (Start 10/2024) 0.50 2.50 X X 0 0 0 Bill Gilbert Director 0.50 2.50 X 0 0 0 Bill Whitacre Director 0.50 2.50 X 0 0 0 Bill Ystueta Director 0.50 2.50 X 0 0 0 Bob Lokken Director 0.50 2.50 X 0 0 0 Dan Krahn Director 0.50 2.50 X 0 0 0 Dave Snelson Director (Start 10/2024) 0.50 4.50 X 0 0 0 Emily Baker Director 0.50 2.50 X 0 0 0 Jill Twedt Director 0.50 2.50 X 0 0 0 Laura McGeorge MD Director 0.50 2.50 X 0 0 0 Linda Hartgen Director (Start 7/2025) 0.50 2.50 X 0 0 0 Rich Raimondi Director 0.50 4.50 X 0 0 0 Rosa Davila Director 0.50 2.50 X 0 0 0 Tom Corrick Director 0.50 2.50 X 0 0 0 Sandee Moore Gehrke Hospital Chief Executive Officer 5.00 37.00 X 0 910430 81168 Christine Neuhoff SVP/Chief Legal Officer/Secretary 2.00 48.00 X 0 874555 90872 Kate Fowler SVP/CFO/Treasurer 2.00 48.00 X 0 860999 64747 Michael Fenello VP, Population Health 10.00 30.00 X 0 712345 69992 Garrett Coman MD Physician 40.00 0.00 X 0 806936 50212 Matthew Kopplin MD Physician 40.00 0.00 X 0 740577 54371 Matthew Reeck MD Physician 40.00 0.00 X 0 602967 57273 Alison Kinsler MD Physician 40.00 0.00 X 0 604227 48304 Derek Ipsen DO Physician 40.00 0.00 X 0 592280 11000 David C Pate MD JD Former CEO & President 0.00 0.00 X 0 154684 0 Jeffrey S Taylor Former SVP/CFO/Treasurer 0.00 0.00 X 0 127423 0 0 9004873 615086 0 1 1 0 MAGIC VALLEY ANESTHESIOLOGY 139 River Vista Place Ste 202 Twin Falls ID 83301 Anesthesia Services 1827771 MEDICAL SOLUTIONS LLC 1010 N 102nd St Suite 300 Omaha NE 68114 Medical Staffing 1624294 RIGHTSOURCING INC 9 Executive Cir 290 Irvine CA 92614 Medical Staffing 893323 COMPHEALTH PO BOX 972651 Dallas TX 75397 Medical Staffing 668686 QUALIVIS LLC 2000 Center Point Rd Ste 2360 Columbia SC 29210 Medical Staffing 649890 16 7379 885087 892466 NET PATIENT REVENUE 622110 105787863 105787863 CONTRACT SERVICE REVEN 900099 1244904 1244904 SLHS ALLOCATED REVENUE 900099 487999 487999 PREMIUM REVENUE 900099 183635 183635 302148 302148 108006549 141670 141670 52342 1903 50439 50439 50439 645 -645 -645 -645 CAFETERIA/CATERING/VEN 722514 359574 359574 359574 109450053 108006549 0 551038 1062217 1062217 2087103 2003619 53615 29869 63742 63742 6025968 5905449 23958 96561 5505 5505 664019 610897 39465 13657 7190708 7190708 360417 358514 1903 491185 422419 49986 18780 2998755 2998755 6758 6758 ALLOCATED SLHS WAGES 52824281 46318411 5849358 656512 SUPPLIES 16938482 16430328 459216 48938 ALLOCATED SLHS EXPENSE 6324874 5739523 585351 REPAIRS 2148697 386765 1761932 2469182 2010237 408987 49958 101661893 91444600 9233771 983522 17041810 16467472 4038707 4533819 1779443 1825630 36880 13619 87082058 54687707 31180488 32394351 64280 48210 102294510 112952712 156436118 168235813 2957339 3181845 2253169 6040198 5210508 9222043 X 151225610 159013770 151225610 159013770 156436118 168235813 7788160 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4434711 4434711 56275063 37598573 18676490 21678085 17089134 4588951 4694199 4694199 32394351 Due from Related Parties 112395747 Deposits 16965 Skyview Holdings Trust 540000 112952712 Due to Related Parties 58530 OPERATING LEASES 2656916 MEDICARE MEDICAID AP 3324752 6040198 X Part X, Line 2: Footnote Disclosure - Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements - St. Luke's Health System Fiscal Year 2025) Income Taxes - The Health System is a not-for-profit corporation and is recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Health System has activities that are considered unrelated business taxable income ("UBTI"), which are subject to income tax. The Health System also has two taxable subsidiaries, the Network, and the Plan whose operations are included in the consolidated financial statements and as such we have provided for income taxes on this activity under the Accounting Standards Codification ("ASC") 740. For the Health System's taxable subsidiary and activities considered UBTI, income taxes are accounted for under the asset and liability method, which requires the recognition of Deferred Tax Assets ("DTAs") and Deferred Tax Liabilities ("DTLs") for the expected future tax consequences of events that have been included in the consolidated financial statements. Under this method, the Health System determines DTAs and DTLs based on the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on DTAs and DTLs is recognized in results of operations in the period that includes the enactment date of the rate change. The Health System recognizes DTAs to the extent that these assets are more likely than not to be realized. In making such a determination, the Health System considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If the Health System determines that DTAs are realizable in the future in excess of their net recorded amount, the Health System would make an adjustment to the DTA valuation allowance, which would reduce the provision for income taxes. The Health System records uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) the Health System determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Health System recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. Management is not aware of any uncertain tax positions that should be recorded. 1 1 X 1 X 1 X 1 0 0 4386194 1059675 3326519 0.03270 7234844 2667613 4567231 0.04490 11621038 3727288 7893750 0.07760 411925 78128 333797 0.00330 1148331 1148331 0.01130 796111 303698 492413 0.00480 149011 149011 0.00150 2505378 381826 2123552 0.02090 14126416 4109114 10017302 0.09850 1146 1146 0.00000 1146 1146 0.00000 1 1597539 0 22192220 30620143 -8427923 X 1 1 1 1 St Luke's Wood River Medical Center 100 Hospital Drive Ketchum ID 83340 www.stlukesonline.org State of Idaho License #HH-62 X X X X St Luke's Wood River Medical Center 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X www.stlukesonline.org/about-st-lukes/supporting-the-community X 1 22 1 https://stlukesonline.org/en/healthier-communities/commitments-and-impact/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X X X X X X X 1 X 0 X X X X 1 X 0 0 St. Luke's Wood River Medical Center Part V, Section B, Line 5: The initial step in the CHNA process is to gain an understanding of the health status from existing data and community members. This can include health outcomes such as rates of various diseases,causes of death, and social determinants of health. This information helps assess what can be done within the community to meet the needs with programs, services, or policies. After data analysis, a rigorous prioritization process is employed to ensure the highest priorities identified within the community are addressed by the CHNA. This process includes various community members and stakeholders providing their community input and values across all aspects of this report and next steps. This CHNA aims to identify the health needs of Blaine County, Idaho through a Social Determinants of Health (SDoH) framework, which defines health in the broadest sense and recognizes numerous factors from employment to housing to access to health care that have an impact on the community's health. Social, educational, economic, and health data are drawn from existing data sources such as the U.S. Census, Idaho Department of Health and Welfare, and Idaho State Department of Education, among others. Collaborative Partners: Boise State University Intermountain Healthcare Steering Committee: Blaine County School District Wood River Hospice and Palliative Care South Central Public Health District Family Health Services Blaine County Recreation District Blaine County Prosecuting Attorney The Crisis Hotline Idaho Neighbors Helping Neighbors Blaine County Commissioners Office Men's Second Chance Living Blaine County Charitable Foundation The Wood River YMCA The Advocates Hailey City Council The Senior Connection St. Luke's Wood River Community Board Wood River Fire and Rescue Hailey Police NAMI Wood River The Hunger Coalition Focus Group Hosts: Blaine County School District Social Workers Men's Second Chance Living The Wood River YMCA Wood River Fire and Rescue The Advocates The Senior Connection The Hunger Coalition Community Leader Interview Participants: Blaine County Charitable Fund Hailey City Councilman Blaine County Schools Superintendent Wood River Hospice and Palliative Care South Central Public Health Family Health Services Blaine County Recreation District Blaine County Prosecuting Attorney The Crisis Hotline Idaho Neighbors Helping Neighbors Blaine County Commissioner https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments St. Luke's Wood River Medical Center Part V, Section B, Line 6a: Intermountain Health System (Saltzer Health) St. Luke's Wood River Medical Center Part V, Section B, Line 6b: Boise State University St. Luke's Wood River Medical Center Part V, Section B, Line 11: Priority Area 1: High Cost of LivingStrategy 1. Support for Cost-Burdened HouseholdsSt. Luke's continued efforts to support individuals and families struggling with high housing and living costs. Through utility assistance appointments and a robust financial assistance program for healthrelated needs, the Center for Community Health helped stabilize vulnerable households. Partnerships with South Central Community Action and the St. Luke's Wood River Foundation strengthened the referral pathways and ensured clients could access the assistance they needed efficiently.In FY2025, 11 utility assistance applications were completed, and 292 people received direct financial support, totaling $76,663. Transportation, prescriptions, and dental needs were additional needs most frequently addressed. Strategy 2. Support for Families and Individuals Experiencing HomelessnessSt. Luke's played a central role in collaborating with the City of Ketchum and the Blaine County Housing Authority to advance the Emergency & Transitional Housing Plan. Community partners including local governments, the faith community, charitable partners, and The Hunger Coalition collectively contributed to expanding available resources and strengthening pathways to housing stabilization.Major accomplishments of the collaborative partners included the master lease of Silver Creek Assisted Living and Limelight units to offer transitional housing, helping ensure immediate placement options for individuals in crisis. Two permanent supportive housing units were also added through the Bluebird development, with the St. Luke's Center for Community Health helping identify eligible applicants. Strategy 3. Increasing Affordable Housing OptionsAs an active member of the Blaine County Housing Authority Board, St. Luke's helped strengthen compliance, streamline processes, and guide policy development. The organization continued its engagement with local city housing committees, and exploring strategies for expanding affordable housing.Key community progress included Hailey's ADU incentive program and advancement of the St. Luke's Wood River employee housing developments including the River Bend housing project, and SLWRF's purchase of land for cottagestyle employee homes. Strategy 4. Early Learning & Caregiving SupportResponding to the community's pressing need for childcare and early learning opportunities, St. Luke's partnered with the Wood River Early Learning Collaborative, BCSD, The Advocates, and BCCF to improve childcare access and family support. The opening of The Nesta program offering care for infants from birth to age 1 filled a longstanding gap in available services.FY2025 saw the creation of 25 new preschool seats in Bellevue, expansion of BCSD's full-day Pre-K, and completion of Abriendo Puertas training by seven families. Strategy 5. Increasing Access to Healthy FoodsAlthough enrollment in WIC and SNAP declined due to policy changes, St. Luke's continued outreach in collaboration with South Central Public Health and The Hunger Coalition. Cooking Club remained a highlight, offering frequent sessions that promoted food literacy and nutrition skills.In 2025, Cooking Club met 34 times with 81 unique participants. Priority Area 2: Mental Well-BeingStrategy 1. Awareness, Education & SkillBuildingMental wellbeing efforts expanded through collaborations with partners such as Optum Idaho, 5B Suicide Prevention Alliance, BCSD, and the newly established nonprofit Together We. Schools and community groups benefited from increased suicide prevention engagement, including the introduction of Sources of Strength at Wood River High School, with more than 60 students participating.Work is underway to offer QPR trainings in English and Spanish, strengthening community wide prevention education.Strategy 2. Increasing Access to Mental and Behavioral Health ServicesTo expand access to counseling and support services, St. Luke's funded over 1,100 counseling sessions and placed an embedded LCSW at Wood River High School. Partnerships with BPA Health and BCSD enabled more streamlined referrals, particularly for students who faced financial barriers to care.Distribution of safety tools including more than 150 gun locks and ongoing naloxone education further strengthened community safety initiatives. Strategy 3. Population Level Identification & PreventionAs part of the Icelandic Prevention Model, St. Luke's continued working with Boise State University and BCSD to track and address risk and protective factors for youth. FY2025 data showed increases in family support, school safety, and positive peer support, though rates of social isolation and connection to trusted adults signaled areas for continued focus. Priority Area 3: Access to HealthRelated ServicesStrategy 1. Addressing Transportation Barriers to CareWith limited healthcare resources locally, medical transportation remained a critical service for the Wood River Valley community. Through funding partnerships with Mountain Rides and support from the SLWR Foundation, 720 medical rides were provided in FY2025, ensuring that Wood River Valley residents could attend necessary appointments in Twin Falls and beyond.Additional transportation support was offered through gas cards and Compassionate Care, with 96 interventions recorded. Strategy 2. Supporting Mobile, Telehealth, and Onsite ServicesSt. Luke's continued to support school nursing services, vaccination outreach, and health education through partnerships with BCSD, SCPH, the Hunger Coalition, and the Mexican Consulate. Although statewide school funding cuts pose challenges, efforts remain focused on maintaining essential services.Mobile outreach events served 20 community members and distributed vital health information, including measles vaccination resources to more than 300 families. Strategy 3. Community Health Worker & Outreach ServicesOffsite outreach at community partner locations including the library, Hunger Coalition, and local events continued to expand access to resources and strengthen the presence of the Center for Community Health. These efforts help ensure residents receive culturally relevant, accessible support in trusted community settings. St. Luke's Wood River Medical Center Part V, Section B, Line 16j: Make available its Financial Care Policy or program summary to appropriate community health and human services agencies and other organizations that assist people in financial need.Make information and education on Financial Care and collection policies and practices available to appropriate administrative and clinical staff. 2 1 - St Luke's Clinic 1450 Aviation Dr Hailey ID 83333 Family Medicine and Physician clinics 2 - St Luke's Clinic Family Medicine 21 E Maple Hailey ID 83333 Physician Clinic Part I, Line 3c: Please refer to the disclosure for Part V, Section B, Line 13b - which describes methods used to determine eligibility for financial assistance. Part I, Line 7: The cost to charge ratio was used to calculate the financial assistance provided to the community. Other Community benefits amounts were derived from a data repository maintained by St. Luke's Employees that tracks community benefit costs and hours. Part I, Line 7g: Subsidized services represent unreimbursed costs incurred (excluding impact of unreimbursed Medicare and Medicaid) for the following services: Behavioral Health Services Part I, Line 6a: St. Luke's Wood River Medical Center, Ltd. is not required under Idaho law to file a community benefit report, since its total licensed beds are less than the minimum 150 bed requirement threshold. (Wood River has 25 licensed beds.) Moreover, the activity of St.Luke's Wood River Medical Center, Ltd. is not included in the community benefit report within any of its related organizations within the St. Luke's Health System." Part 1, Line 5a, Discounted Care: Financial assistance is provided to any qualifying patients, regardless of budget. Part 1, Line 7i During the fiscal year, St. Luke's administrated and dispensed the majority of community grants, cash, and in-kind donations at the system level. Those grants and donations were still awarded and continued to support health initiatives through all the communities we serve and were reported on form 990 for St. Luke's Health System. Part II, Community Building Activities: St. Luke's is an active participant in the community, and provides support to address public health issues, and works with coalitions to address local health needs. St. Luke's takes on initiatives as need arises such as food and nutrition security, housing stability, cost of living relief, mental health and well-being and access to care. Part III, Line 2: The Cost to Charge ratio method was used to calculate bad debt expense at cost. Part III, Line 3: St. Luke's has a very robust financial assistance program, therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy. Part III, Line 4: Per the audited financial statements in footnote three, St. Luke's grants credit without collateral to its patients, most of whom are local residents and many of whom are insured under third-party agreements. The allowance for estimated uncollectible amounts is determined by analyzing both historical information (write-offs by payor classification), as well as current economic conditions. Part III, Line 8: The source of the information is the Medicare Cost Report for fiscal year 2025. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'25.St. Luke's provides medical care to all patients eligible for Medicare regardless of the shortfall and thereby relieves the Federal Government of the burden for paying the full cost of Medicare. Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health System provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts. Part VI, Line 2: A Community Health Needs Assessment (CHNA) was conducted for the fiscal year ending 9/30/2023. Information related to the CHNA is shown in the responses to questions 3 and 7 of "Part V, Section B, Facility Policies and Practices". A complete copy of the CHNA assessments for all of the hospitals operating within the St. Luke's Health System can be found at the following website: https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Additional assessments of health care needs include St. Luke's Social Determinants of Health screenings being implemented in 2024, acute and ambulatory settings. External partners including United Way and the state Health and Welfare conduct surveys and assessments determining additional needs at the county level. An annually updated resource is the online data platform, the Idaho Oregon Community Health Atlas that reflects needs at the census tract level across the St. Luke's geography. Part VI, Line 3: (A) St. Luke's provides notice of the availability of financial assistance via: 1. Signage 2. Patient brochure 3. Billing Statement 4. Written collection action letter 5. Online at www.stlukesonline.org/billing (B) Financial assistance policy is translated into the following language: Spanish (C) St. Luke's provides individual notice of the availability of financial assistance to a patient expected to incur charges that may not be paid in full by third party coverage, along with an estimate of the patient's liability. (D) For cases in which St. Luke's independently determines patient eligibility for financial assistance, St. Luke's provides written notice of determination that the patient is or is not eligible within 10 business days of receiving a completed application and the required supporting documentation. https://www.stlukesonline.org/resources/before-your-visit/financial-care Part VI, Line 4: The population in Idaho increased from 2010-2020 by 17.3%. Idaho had the highest percentage of population growth in the nation in 2022. In a 2021 statewide survey, Idahoans were asked: Would you say that the state of Idaho is growing too fast, too slow, or about right? Over 70% of participants responded with growth being too fast. During this same period the Wood River Valley grew by 17.5%. Much of this growth occurred in the towns of Ketchum and Hailey. CHNA respondents feel they have maintained a friendly and caring community despite the growth. Negative impacts of growth include rising housing costs, decreased availability of housing stock, wages not keeping up with cost of living, increased substance misuse, and increased need for mental health care services. In November 2000, St. Luke's Wood River Medical Center opened its doors to serve the health care needs of people living in the greater Blaine County area. During the design process, special care was taken to ensure a facility that would complement the surrounding terrain, with the hospital's exterior and interior reflecting the beauty of Idaho's world-renowned Sun Valley area. To best accommodate the needs of the people in this region, the hospital site was located immediately off Highway 75. Services at Wood River Medical Center include a 24-hour emergency department, inpatient and outpatient surgery, diagnostics, maternity services, physical and occupational therapy, mammography, orthopedics, infusion services, and medical/surgical units. St. Luke's Center for Community Health's main office can be found in the Hailey Medical Clinic, in the neighboring town. Known for our clinical excellence, St. Luke's Wood River has been nationally recognized for quality and patient safety. This fall, Press Ganey announced that St. Luke's Wood River Emergency Department and Inpatient Care Unit were named as a 2021 Guardian of Excellence Award winner. The Guardian of Excellence Award recognizes top-performing health care organizations that have achieved the 95th percentile or above of performance in patient experience. St. Luke's Wood River is fortunate to have over 50 physicians on the medical staff, and a dedicated governing board comprised of independent civic leaders who volunteer their time to serve. Idaho is home to a majority white population. Compared to the state average, the Wood River Valley has a higher percentage of Hispanic/Latino residents. CHNA respondents identified Hispanic/ Latino, non-native English speaking, immigrant, and refugee populations as being most at-risk of missing needed services. Those representing these groups reported barriers to service including lack of translation and interpretation services. In recent years there has been greater representation of Latinos in public spheres advocating on behalf of the community and the county recognizing the presence of Latinos in the community. The population in Idaho from 2010-2020 increased by 17.3%. Counties experiencing outsized growth include Ada County increasing by 26.1%, Canyon County by 22.3%, and Valley County by 19.1%. Idaho had the highest percentage of population growth in the nation in 2022. The Federal poverty level (FPL) is a measure of income issued annually by the Department of Health and Human Services used to determine eligibility for programs and benefits. Although the FPL is used to measure a resident's ability to financially meet basic needs, it is not an exclusive measure of financial struggle. The FPL is also calculated for the entire 48 contiguous states grouped together and it cannot account for variation across states, counties, or cities. This means that a region, such as the Wood River, may have a much different cost of living than the national average the FPL was based on. In Blaine County, many low-income households fall above the FPL and still struggle to meet expenses. Household incomes in Blaine County have risen over the past few years, despite a dip in 2018 and 2019. Except at a short point during this dip, Blaine County has consistently had higher wages than the state average. However, this difference is tempered by higher living costs in Blaine County. This means that wage increases may not lead to increased financial stability for households that are facing difficult-to-meet costs. https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Part VI, Line 5: The people who serve on the various boards for subsidiaries within the St. Luke's Health System are local citizens who have a vested interest in the health of their communities. St. Luke's believes that locally owned and governed hospitals take the best measure of community health care needs. The committed leaders who volunteer on our boards do so because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. We are grateful to our board leadership for giving generously their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future. St. Luke's supports the training of rising young physicians, nurses, specialists and allied health professions through preceptors, scholarships, partnerships with local colleges and universities. The same institutions are research partners committed to advancing care across the region. St. Luke's commitment to specialties such as cancer, cardiology, children's, neurology and orthopedics allow patients the ability to stay in their home state, closer to home to receive a higher level of care. As a not-for-profit organization, 100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings, or new technology as well as supporting local nonprofits that provide services and expertise outside of our care. Examples include funding federally qualified health centers serving low income and vulnerable populations; providing education and outreach focused on prevention practices and funding organizations that address one or more of the significant health needs identified by data and insights. Also, St. Luke's Wood River Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Wood River Medical Center, Ltd. Part VI, Line 6: As the only Idaho-based not-for-profit health system, St. Luke's Health System is part of the communities we serve, with local physicians and boards who further our organization's mission "To improve the health of people in the communities we serve." Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care, with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name. St. Luke's Health System provides facilities and services across the region, covering a 150-mile radius that encompasses southern and central Idaho, northern Nevada, and eastern Oregon-bringing care close to home and family. The following entities are part of the St. Luke's Health System: (1) St. Luke's Regional Medical Center, Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Children's Hospital --St. Luke's Boise/Meridian/Caldwell/Fruitland Physician Clinics --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital with physician clinic --St. Luke's Fruitland Emergency Department/Urgent Care (2) St. Luke's Wood River Medical Center, Ltd. which consists of a critical access hospital located in Ketchum, Idaho as well as various physician clinics (3) St. Luke's Magic Valley Regional Medical Center, Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls, Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health) --St. Luke's Jerome Hospital-Jerome, Idaho --Various Physician clinics in Jerome (4) St. Luke's McCall, Ltd. which consists of a critical access hospital located in McCall, Idaho as well as various physician clinics. (5) St. Luke's Nampa Medical Center, Ltd. which consists of a critical access hospital located in Nampa, Idaho as well as various physician clinics. St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include: Cardiovascular; Child Abuse and Neglect Evaluation; Endocrinology; Ear, Nose, and Throat; Family Medicine; Gastroenterology; General Surgery; Hypertensive Disease; Internal Medicine; Maternal/Fetal Medicine; Medical Imaging; Metabolic and Bariatric Surgery; Nephrology; Neurology; Neurosurgery; Obstetrics/Gynecology; Occupational Medicine; Orthopedics; Outpatient Rehabilitation; Plastic Surgery; Psychiatry and Addiction; Pulmonary Medicine; Sleep Disorders; and Urology. In addition, St. Luke's works with other regional facilities, including Weiser Memorial Hospital and Salmon River Clinic, through a combination of management and other contracts for select specified services. 1 ARCH Community Housing Trust PO Box 1292 Ketchum ID 83340 753167069 501(c)(3) 78696 0 Support Community Housing St Lukes Wood River Foundation PO Box 7005 Ketchum ID 83340 237288535 501(c)(3) 983521 0 Provide Support For Overall Operational Needs Of St. Lukes Wood River Foundation 2 0 Part I, Line 2: The organization endeavors to monitor its grants to ensure that such grants are used for proper purposes and not otherwise diverted from their intended use. This is accomplished by requesting recipient organizations to affirm that funds must be used solely in accordance with the grant request and budget on which the grant was based and that funds not expended for the stated purpose are to be returned to the organization. Reports are requested from time to time as deemed appropriate. Sch. I Part I During the fiscal year 2025 the Health System administered and dispensed community grants into one department which is aligned under SLHS. The grants were awarded and continued to support health initiatives through all the communities we serve. 0 1 0 0 0 0 0 0 0 Chris Roth President & System CEO 0 1852165 0 0 0 165285 0 54206 0 32941 0 2104597 0 0 Sandee Moore Gehrke Hospital Chief Executive Officer 0 867323 0 0 0 43107 0 48992 0 32176 0 991598 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 0 781619 0 0 0 92936 0 54206 0 36666 0 965427 0 0 Kate Fowler SVP/CFO/Treasurer 0 825332 0 0 0 35667 0 43487 0 21260 0 925746 0 0 Garrett Coman MD Physician 0 747145 0 59305 0 486 0 38564 0 11648 0 857148 0 0 Matthew Kopplin MD Physician 0 602843 0 135453 0 2281 0 20778 0 33593 0 794948 0 0 Michael Fenello VP, Population Health 0 542223 0 0 0 170122 0 45492 0 24500 0 782337 0 0 Matthew Reeck MD Physician 0 390766 0 210959 0 1242 0 25066 0 32207 0 660240 0 0 Alison Kinsler MD Physician 0 373608 0 230079 0 540 0 38718 0 9586 0 652531 0 0 Derek Ipsen DO Physician 0 589999 0 0 0 2281 0 10660 0 340 0 603280 0 0 David C Pate MD JD Former CEO & President 0 0 0 0 0 154684 0 0 0 0 0 154684 0 154684 Jeffrey S Taylor Former SVP/CFO/Treasurer 0 0 0 0 0 127423 0 0 0 0 0 127423 0 83974 Part I, Line 3 Compensation for the organization's CEO is determined by St. Luke's Health System, Ltd. (System), sole member of St. Luke's Wood River Medical Center, Ltd.. The System board approves the compensation amount per the recommendation of its compensation committee. In determining compensation for the CEO, the System board utilizes the following: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee Part I, Line 4b During CY2024, the following individuals participated in a supplemental non-qualified executive retirement plan governed by 457(f): Chris Roth received $154,918 of taxable benefits for service in a supplemental retirement plan. Christine Neuhoff received $83,600 of taxable benefits for service in a supplemental retirement plan. Sandee Moore Gehrke received $37,750 of taxable benefits for service in a supplemental retirement plan. Michael Fenello received $154,720of taxable benefits for service in a supplemental retirement plan. David C. Pate received $154,684 of taxable and $372,053 of non-taxable benefits for service in a supplemental retirement plan. Jeffrey S. Taylor received $83,974 of taxable and $60,871 of non-taxable benefits for service in a supplemental retirement plan. Form 990 Part V, Line 1 & 2 Accounts payable and payroll process are consolidated at the supporting organization level (St. Luke's Health System, Ltd). Therefore, corresponding reporting for 1099's and W-2's occurs at that level. Form 990, Part VI, Section A, line 2 Andy Scoggin has a business relationship with Dan Krahn. Form 990, Part VI, Section A, line 6 St. Luke's Health System, Ltd. is the sole member of St. Luke's Wood River Medical Center, Ltd. Form 990, Part VI, Section A, line 7a St. Luke's Wood River Medical Center, Ltd. (Corporation) and St. Luke's Health System, Ltd. (Member) cooperatively select and employ the CEO of the Corporation. St. Luke's Health system, Ltd. is the sole member of the Corporation. Form 990, Part VI, Section A, line 7b St. Luke's Health System, Ltd. (Member) maintains approval and implementation authority over St. Luke's Wood River Medical Center, Ltd. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors)and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by an independent public accounting firm based on audited financial statements of the St. Luke's Health System and with the assistance of the organization's finance and accounting staff. A complete copy of the Form 990 is made available to the Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees, and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing, and resolving any conflicts of interest that have been disclosed by a covered person, or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists, the affected parties must recuse themselves from participating in any discussion and/or vote related to the conflict. Form 990, Part VI, Section B, line 15 Executive compensation is set by St. Luke's Boards of Directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile in aggregate of those surveyed. These surveys are usually done annually. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment, St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed, St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. Form 990 Part VII Section A Allocation of Compensation and Hours: It should be noted that the hours reported for the directors (employed by St. Luke's), officers, key employees, and highest-paid employees are based on a minimum 40-hour work week. However, due to the demands of their roles within the St. Luke's Health System, the hours worked by these individuals often exceed the minimum required 40 hours. St Luke's Clinic-Wood River LLC 190 E Bannock Boise ID 83712 452715973 Physician Clinic Services ID 13218891 813358 St Luke's Wood River Medical Center Ltd St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 Fundraising ID 501(c)(3) 7 St Luke's Health System Ltd 0 St Luke's Health System Ltd 190 E Bannock Boise ID 83712 562570681 Supporting Organization ID 501(c)(3) 12C, III-FI N/A 0 St Luke's Magic Valley Regional Medical Center Ltd 190 E Bannock Boise ID 83712 562570686 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Nampa Medical Center Ltd 190 E Bannock Boise ID 83712 821162805 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Regional Medical Center Ltd 190 E Bannock Boise ID 83712 820161600 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Clinic Coordinated Care Ltd 190 E Bannock Boise ID 83712 455195864 Accountable Care Organization ID 501(c)(3) 10 St Luke's Health System Ltd 0 Broadway Park Holdings LLC 4904 N Mountainside Lane Boise ID 83702 823709613 Rental Real Estate ID N/A 1 0 Select Medical Network of Idaho Inc PO Box 1990 Boise ID 83701 810594024 Provider Network ID N/A C 0 St Luke's Health Plan Inc 800 E Park Blvd Boise ID 83712 874765682 Health Insurance Provider ID N/A C 0 Sequoyah Assurance Ltd PO 1051 Grand Cayman CJ KY1-1102 981631863 Captive Insurance CJ N/A C 0 Anderson Plaza Medical Building Inc 190 E Bannock St Boise ID 83702 820448741 Medical Offices ID N/A C 0 St Luke's Office Plaza 190 E Bannock St Boise ID 83702 820389626 Medical Offices ID N/A C 0 St Luke's Elmore Medical Building Inc 190 E Bannock St Boise ID 83702 813992116 Medical Offices ID N/A C 0 Kekoa Grove Inc 3363 N Lakeharbor Lane Boise Boise ID 83703 842591044 Real Estate ID N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0